Publications by authors named "Saouab R"

Retroperitoneal synovial sarcoma is extremely rare, with only a few cases reported in the literature. The diagnosis is often made late, due to anatomical considerations, with common symptoms including low back pain and weight loss. Imaging is critical for diagnosis, often revealing a heterogenous mass with the "triple sign" and calcifications.

View Article and Find Full Text PDF

Melorheostosis is a rare benign bone dysplasia characterized by dysostosis and sclerosis. The classic "dripping candle wax" appearance on imaging is a typical finding for the diagnosis. The authors report the case of a patient presenting with a hard and painful mass on the dorsal side of the hand.

View Article and Find Full Text PDF

Hemiazygos continuation of a left-sided inferior vena cava (IVC) is an extremely rare developmental anomaly. We present the case of a male patient in whom this condition was incidentally discovered during a thoraco-abdominopelvic CT scan. With the widespread use of contrast-enhanced computed tomography and magnetic resonance angiography, the detection of congenital IVC anomalies has become more accessible.

View Article and Find Full Text PDF

Zinner syndrome is a rare congenital malformation characterized by cystic seminal vesicles and ejaculatory duct obstruction in association with ipsilateral renal agenesis. It appears to be frequently linked to infertility. However, recent advances in imaging, notably MRI, have led to an increase in the diagnosis of this pathology.

View Article and Find Full Text PDF
Article Synopsis
  • Gradenigo syndrome (GS) is a rare complication of severe ear infections characterized by abducens nerve palsy, retro-orbital pain, and ear discharge (otorrhea).
  • A case study describes a 15-year-old male who developed GS after left otitis media, showing symptoms like fever, diplopia (double vision), and severe headaches, with imaging revealing serious underlying issues.
  • Treatment involved intravenous antibiotics and anticoagulants, which led to symptom improvement, highlighting the importance of timely diagnosis and intervention to avoid complications.
View Article and Find Full Text PDF

Tuberculosis (TB) is a common infectious disease that most often affects the lungs, but it can also affect any other organ with a wide range of clinical manifestations. There are three forms of hepatic involvement: diffuse hepatic tuberculosis combined with pulmonary tuberculosis; diffuse hepatic tuberculosis without pulmonary involvement; and nodular or focal/local hepatic tuberculosis, which is a very rare form and presents a diagnostic challenge. We here report the case of a young Moroccan man presenting with biliary colic that had been evolving for a month, associated with a forme fruste of tuberculous impregnation.

View Article and Find Full Text PDF

Inferior vena cava IVC is a crucial route for catheter access (both directly to the right heart and indirectly through a transeptal puncture to the left heart, used in most electrophysiological procedures). However, interrupted IVC is a real challenge to traditional arrythmia ablation approaches, compromising in certain cases the success of the procedure. A well-developed azygos continuation offers an alternative pathway, bypassing the interrupted segment of the IVC.

View Article and Find Full Text PDF
Article Synopsis
  • Abdominal tuberculosis can be hard to diagnose because its symptoms are vague, often causing delays in treatment.
  • A 48-year-old man was incorrectly diagnosed with a gastrointestinal tumor but actually had retroperitoneal pseudo-tumoral tuberculosis, leading to unnecessary surgery.
  • Following proper diagnosis through pathology, the patient successfully received 6 months of antitubercular treatment, emphasizing the need for early biopsies to avoid such misdiagnoses.
View Article and Find Full Text PDF
Article Synopsis
  • Skull base osteomyelitis is a serious and rare condition mostly seen in immunocompromised people, and it can be life-threatening if not treated quickly.
  • The most common cause is the spread of necrotizing external otitis, but it can also originate from other sources like bilateral otitis media.
  • Diagnosing this condition is challenging due to varied symptoms, so imaging is essential for determining the infection's source, extent, and any complications, highlighting the importance of early diagnosis for effective treatment.
View Article and Find Full Text PDF

Foreign bodies may be ingested accidentally or intentionally. Generally, they pass through the digestive tract without causing complications unless they become lodged. Patients often present with nonspecific clinical symptoms, and diagnosis is frequently delayed because they do not recall ingesting anything.

View Article and Find Full Text PDF
Article Synopsis
  • * A case study of a 14-year-old girl highlights the diagnosis of a slowly growing left parotid mass that was found to be an epidermoid cyst after imaging and surgical excision.
  • * The article explores the clinical signs, imaging characteristics, and other potential diagnoses for parotid epidermoid cysts, noting that they are often asymptomatic and can resemble other cystic lesions.
View Article and Find Full Text PDF

The retention of a surgical sponge is a rare complication that presents diagnostic challenges and carries the risk of potential complications. Two distinct foreign body reactions, fibrinous, and exudative, can result in the formation of a granuloma (known as gossypiboma) or lead to complications such as abscess formation and migration into the gastrointestinal tract. In this report, we present the case of a 33-year-old woman with a history of splenectomy who presented with symptoms including epigastric pain, vomiting, and episodes of hematemesis.

View Article and Find Full Text PDF

Brown tumors are non-neoplastic bone lesions caused by an abnormal remodeling of the bone that may occur with primary or secondary hyperparathyroidism. Their radiological aspect: lytic and aggressive can easily be misdiagnosed for a malignant origin hence the importance of knowing that diagnosis is to be considered through both clinical context and radiological semiology, which will be detailed via this case of a 32-year-old female patient with an end-stage kidney disease, admitted for facial disfiguration and palpable masses corresponding to brown tumors affecting the maxilla and the mandibular bone.

View Article and Find Full Text PDF

The superior mesenteric artery syndrome and nutcracker phenomenon are rare vascular disorders due to the abnormal development of the superior mesenteric artery stemming from the abdominal aorta with reduced angle (<22°) and resultant compression of the left renal vein and duodenum. It is an underreported entity due to the absence of specific pathognomonic signs. We report the case of a 59-year-old man, admitted for acute bilious vomiting, who underwent a gastroscopy and a computed tomography scan revealing a Wilkie's syndrome associated with a dilated posterior left renal vein communicating with the left ascending lumbar vein without connection with the inferior vena cava mimicking a nutcracker phenomenon.

View Article and Find Full Text PDF

Infantile fibromatosis is a rare mesenchymal disorder characterized by the fibrous proliferation of the skin, bone, muscle, and viscera. The clinical features vary from solitary to multicentric forms with similar pathological features. Although the tumor is histologically benign, it is a highly infiltrating lesion making the prognosis poor for patients with craniofacial involvement affection due to the major risk of nerve vascular and airway compression syndrome.

View Article and Find Full Text PDF

abdominal pain or jaundice. Cross-sectional imaging is beneficial in making the diagnosis noninvasively, thus eliminating other pathologies of the peri-ampullary region. We present 2 cases of Lemmel's syndrome whose diagnosis is retained based on a CT scan and magnetic resonance cholangiopancreatography.

View Article and Find Full Text PDF

The hydatid cyst of the liver is the most common location of hydatid disease. Complications in this form are dominated by superinfection of the cyst and rupture into the bile ducts or the peritoneal cavity. We report the case of a 54-year-old female patient with a hydatid cyst of the liver complicated by a rupture in the gallbladder revealed by urinary symptoms.

View Article and Find Full Text PDF

Bronchopulmonary cancer muscle metastases are uncommon, especially when they are visible. They can impact any muscle in the body, but the psoas, diaphragmatic, and paravertebral muscles have a clear advantage. We present a case of lateral pterygoid muscle metastasis of squamous cell carcinoma of the lung in a 70-year-old habitual smoker (40 packs per year) presents headaches more marked on the right and progressively worsening.

View Article and Find Full Text PDF

Prostatic abscess is a rare entity that occurs most frequently after the age of 50. The main risk factors are immunosuppressive conditions such as diabetes, HIV infection and chronic renal failure. It is clinically manifested by signs of bladder irritation.

View Article and Find Full Text PDF

Biloma is a severe complication that can result from bile duct disruption or hepatic trauma. It can occur after biliary surgery such as cholecystectomy or an endoscopic retrograde cholangiopancreatography manipulation and endoscopic biliary sphincterotomy. We present the case of a 59-year-old man admitted for jaundice, with pain in his right flank and fever, 10 days after an endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for an ill-defined pancreatic lesion, associated with an infected biloma.

View Article and Find Full Text PDF

A real life-threatening emergency, Wunderlich syndrome (WS) is an interesting and unknown clinical condition characterised by intense beginning of spontaneous, non-traumatic renal haemorrhage in the sub-capsular and perirenal space, with a typical clinical and radiological presentation [1] that allow the diagnosis. Although most cases are treated invasively either by surgery or embolization to control the bleeding, Fortunately our 66 year old patient admitted to the Mohammed V military hospital in Rabat benefited from a conservative treatment, which allowed him to avoid all the associated complications and to be discharged from hospital in less than 4 days.

View Article and Find Full Text PDF

Tracheobronchial injuries following blunt chest trauma are rare and can be lethal. CT scan can help to diagnose it when a defect to the tracheobronchial wall is visible or to suspect it in front of indirect signs.

View Article and Find Full Text PDF
Article Synopsis
  • * Diagnosis involves imaging techniques, but confirmation requires histological examination of tissue samples.
  • * A case study describes a 59-year-old man with melena, where endoscopy revealed growths in the duodenum, and subsequent MRI and histology confirmed it as a duodenal lymphatic malformation.
View Article and Find Full Text PDF